Nursing Elites

1. A diabetic patient's blood sugar is 180mg/dL. Their usual insulin dose is 1 unit per 40mg/dL above 100mg/dL. How much insulin should be administered?

• A. 2 units
• B. 3 units
• C. 4 units
• D. 5 units

Correct answer: B

Rationale: Rationale: 1. Calculate the excess blood sugar above 100mg/dL: 180mg/dL - 100mg/dL = 80mg/dL. 2. Determine the insulin dose based on the patient's usual insulin dose: 80mg/dL / 40mg/dL = 2 units. 3. Add the calculated insulin dose to the patient's usual insulin dose: 1 unit (usual dose) + 2 units (calculated dose) = 3 units. Therefore, the correct answer is 3 units of insulin should be administered to the diabetic patient with a blood sugar level of 180mg/dL.

2. Which of the following is the primary function of the lymphatic system?

• A. Transporting oxygen and nutrients to cells
• B. Carrying waste products away from tissues
• C. Regulating body temperature
• D. Producing red blood cells

Correct answer: B

Rationale: The correct answer is B: 'Carrying waste products away from tissues.' The primary function of the lymphatic system is to collect excess fluid from tissues and return it to the bloodstream, while also transporting waste products, pathogens, and cellular debris away from tissues to be filtered and eliminated. This helps maintain fluid balance in the body and supports the immune system by removing harmful substances. Options A, C, and D do not accurately describe the primary function of the lymphatic system, making them incorrect choices.

3. What is the difference between a homozygous recessive genotype and a homozygous dominant genotype?

• A. Both have the same phenotype, but different genotypes.
• B. Both have the same genotype, but different phenotypes.
• C. Homozygous recessive has two dominant alleles, while homozygous dominant has two recessive alleles.
• D. Homozygous recessive has two identical recessive alleles, while homozygous dominant has two identical dominant alleles.

Correct answer: D

Rationale: Rationale: - Homozygous recessive genotype refers to an individual having two identical recessive alleles for a particular gene (e.g., rr for a trait where r represents the recessive allele). - Homozygous dominant genotype refers to an individual having two identical dominant alleles for a particular gene (e.g., RR for a trait where R represents the dominant allele). - The difference between the two genotypes lies in the specific alleles present in each case, with homozygous recessive having two recessive alleles and homozygous dominant having two dominant alleles. - This genetic difference results in different phenotypes being expressed, as the dominant allele typically masks the expression of the recessive allele in heterozygous individuals.

4. What is the main idea of the following passage: "The internet has revolutionized communication, allowing people to connect instantly from anywhere in the world. Social media platforms, like Facebook and Twitter, have further amplified this connectivity, enabling individuals to share information and ideas on a global scale."

• A. The internet is a source of entertainment.
• B. Social media is the only way to communicate online.
• C. The internet has transformed communication globally.
• D. Technology is becoming increasingly complex.

Correct answer: C

Rationale: The passage emphasizes the transformative impact of the internet and social media on communication.

5. What is the process by which bacteria can acquire new genetic material from their environment?

• A. Transformation
• B. Transduction
• C. Conjugation
• D. All of the above

Correct answer: D

Rationale: Rationale: A) Transformation: Transformation is the process by which bacteria can take up free DNA from their environment and incorporate it into their own genome. This can lead to the acquisition of new genetic material and traits. B) Transduction: Transduction is a process where genetic material is transferred from one bacterium to another by a bacteriophage (a virus that infects bacteria). During transduction, the bacteriophage carries bacterial DNA from one host cell to another, allowing for the transfer of genetic material. C) Conjugation: Conjugation is a mechanism of horizontal gene transfer in bacteria where genetic material is transferred between two bacterial cells that are in direct contact. This transfer is mediated by a conjugative plasmid that carries the genetic information to be transferred. Therefore, all of the processes mentioned (transformation, transduction, and conjugation) are ways in which bacteria can acquire new genetic material from their environment.

6. Vaccines work by stimulating the immune system to develop:

• A. A physical barrier against pathogens
• B. An inflammatory response
• C. Immunological memory to a specific pathogen
• D. Phagocytes to engulf pathogens

Correct answer: C

Rationale: The correct answer is C: 'Immunological memory to a specific pathogen.' Vaccines work by introducing a harmless form of a pathogen or a piece of it to stimulate the immune system. This exposure triggers the production of antibodies and memory cells specific to that pathogen. These memory cells 'remember' the pathogen, allowing the immune system to respond more effectively and rapidly if exposed to the actual pathogen in the future. Options A, B, and D are incorrect because vaccines do not create a physical barrier, induce a general inflammatory response, or directly cause phagocytes to engulf pathogens; instead, vaccines enhance the immune system's ability to recognize and combat specific pathogens.

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